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Andrea Lockhart Psychotherapy

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Billing & Payment

1 Appointment info

Reason for care

Billing & Payment

3 Contact information

Payment method

How do you plan to pay?

Insurance Provider:

I am in-network with Aetna and United Healthcare in California and Colorado. I am in-network with Kaiser only in Northern Colorado.

Aetna United Healthcare/Optum Kaiser of Colorado

Insurance card upload

Upload a photo of your insurance card

First and last name on Insurance if different from above:

Sex as indicated on your insurance:

required for insurance

female male

Are you the primary subscriber for the insurance?

Yes, I am enrolled individually or through my employer No, I am enrolled through a parent, spouse, or domestic partner

If you are not the primary subscriber, provide the primary's first and last name as listed on the insurance:

Subscriber date of birth:

Subscriber sex as listed on insurance:

female male

Relationship to subscriber:

child/dependent spouse domestic partner

Subscriber address:

include streed address, city, state, and zip code

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

Andrea Lockhart, PhD

720.808.0931 |

Lousiville, CO

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.